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Thank you for taking the time to fill this out.
Are you an existing student or a potential new student:
Existing student (I have signed up for classes.)
New student (I'm ready to sign up for classes.)
I'm interested in finding out more.
Your name
Your email
Your WeChat ID
Alternative contact
Student's Name
Student's Age
Student Birthday
Student is...
Male
Female
Student's English level or description of skills
How did you find me?
How can I help you?
What type of classes are you interested in for your child?
Individual lessons
Small group lessons
I am interested in...
Curriculum based lessons (Phonics, Grammar, Vocabulary, Reading, Sentence Structure)
Free Talk/casual discussion lessons
Book reading lessons with an emphasis on comprehension, writing, and discussion
Singing and learning
Play and learn lessons (play a game, imaginative, play, show and share)
Adult classes
What English curriculum are you most interested in?
What are some of the student's favorite things?
What are the student's learning goals?
Why does the student want to learn English?
What day or days of the week are you usually available for classes
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What times (BJT) are you usually available for classes
7am - 8am
8am - 9am
6pm - 7pm
7pm - 8pm
9pm and later
Why are you interested in having a class or continuing classes with Teacher Cheryl?
Is there anything else I should know?
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